TNC Three Rivers Community College NURSING 118

TNCC Day One  Initial Assessment o Preparation and triage o Primary Survey  Resuscitation adjuncts (F, G) o Reevaluation o Secondary Survey (H, I)  Reevaluation adjuncts o Reevaluation and post resuscitation care o Definitive care or transport  A-I Mnemonic o A- AVPU--airway and alertness with C spine o B- breathing and ventilation (rate) o C- circulation and control of hemorrhage o D- disability (neuro status) o E- exposure and environmental control o F- full set of vital signs and family presence o G- get resuscitation adjuncts (LMNOP- labs, monitor (ekg), OG tube, pain) o H- history and head to toe o I- inspect posterior surfaces  Prep and Triage o Safe practice  PPE  Hazardous exposure o Safe care  Right care- if gunshot wound to chest, get chest tube  Right trauma facility- EMS decides this  Right time- is patient stable enough to transfer  Right resources  Across-the-room- Observation o Uncontrolled hemorrhage is a major cause of preventable death after injury o On arrival, determine the need to reorder ABC to <C> ABC o Look for uncontrolled EXTERNAL hemorrhage  Look before you start